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Montana rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $49.83 / $49.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $15.63 / $15.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $16.80 / $16.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $13.65 / $16.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $16.01 / $16.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $12.61 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.66 / $10.26